F 0689
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to
prevent accidents.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review the facility failed to provide a safe environment for the secure unit
residents, staff and the public in two (rooms [ROOM NUMBERS]) of four resident rooms on the secure unit
observed for safety. The facility failed to ensure no portable heaters or space heaters were used in
residents' rooms on the secure unit. This failure could place residents at risk for injury or accidents and
hazards. Findings included: Observation and interview on 01/29/26 at approximately 10:00 AM with CNA A
revealed resident room [ROOM NUMBER] with a portable space heater plugged into the wall on Resident
#1's nightstand. The portable space heater was in the on position with a digital temperature on the display
of 85 degrees Fahrenheit. Resident #1, nor the roommate, were in the room. Observation of the resident
room [ROOM NUMBER] revealed a portable space heater plugged into the wall on Resident #2's
nightstand. The portable space heater was not on. Resident #2 was in bed. Resident #2 did not have a
roommate. Interview with CNA A revealed she did not know how long each space heater had been in the
resident rooms. Interview with CNA A revealed the heat was working on the secure unit and both rooms
were warm. Interview on 01/29/26 at 12:02 PM with the DON revealed they should not be using space
heaters in the residents' rooms. The DON stated she would remove the space heaters in rooms [ROOM
NUMBERS] immediately. The DON stated she would check all rooms on the secure unit to ensure no space
heaters were being used. The DON stated the facility did not have a policy on space heaters or portable
heaters. The DON stated the facility should not use portable heaters or space heaters in resident rooms
because they were a safety hazard. The DON stated the risk of using portable heaters or space heaters in
a resident's room could result in injury. Interview on 01/29/26 at 12:27 PM with the Maintenance Director
revealed the facility had placed space heaters on the secured unit on 01/27/26. The Maintenance Director
stated that they missed picking the space heaters back up on the secured unit on 01/27/26. The
Maintenance Director stated that all space heaters had been picked up from the secure unit as of today
01/29/26. The Maintenance Director stated the heat had been working and was still working on the secure
unit since 01/27/26 after a valve was repaired. The Maintenance Director stated the valve repair took less
than a couple of hours to repair on 01/27/26. The Maintenance Director stated the facility did not have a
policy on portable heaters or space heaters. The Maintenance Director stated the risk of using space
heaters in resident rooms could result in injury. Interview on 01/29/26 at 1:28 PM with the ADM revealed the
facility did not have a policy on portable heaters or space heaters in residents' rooms. The ADM stated that
the risk of using space heaters in a resident's room could result in injury. Review of the Facility's Provider
Investigation Self Report Incident Template dated 01/27/26 revealed the following on 01/27/26 the facility
received reports that heaters were not functioning properly. HVAC company was contacted and in the
facility within two hours to assess issue with system.portable heaters were available.core repairs have been
made. Review of the facility's Loss of Central Services Policy and Procedures,
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
455463
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
455463
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/29/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Meadows Health and Rehabilitation Center
8383 Meadow Rd
Dallas, TX 75231
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0689
Level of Harm - Minimal harm
or potential for actual harm
dated June 2025, revealed Heat Loss: 4) Staff will be responsible for assuring that residents are dressed
appropriately for heat conservation. Several layers of loose clothing and two pairs of socks should be worn
by the residents. Make sure to cover extremities. 5) Staff will provide hot beverages to the residents for
consumption. 6) Extra blankets will be available and distributed to the residents. 7) Residents will be
involved in as many activities as possible. 8) Close all windows and draw curtains.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
455463
If continuation sheet
Page 2 of 2